Pulmonary thromboembolism, intracardiac thrombosis and acute heart failure in a female bodybuilder, secondary to the consumption of anabolic steroids.

Authors

  • Francisco Javier Cáceres-Castro Echocardiography Department. Hospital Regional “1o de Octubre”. Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE). Mexico City, Mexico. https://orcid.org/0000-0002-3910-5366
  • Julio César Rivera-Hermosillo Echocardiography Department. Hospital Regional “1o de Octubre”. Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE). Mexico City, Mexico.
  • José Martín Alanís-Naranjo Echocardiography Department. Hospital Regional “1o de Octubre”. Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE). Mexico City, Mexico. https://orcid.org/0000-0001-6631-7228

DOI:

https://doi.org/10.37615/retic.v6n3a11

Keywords:

thrombosis, anabolic stereoids, bodybuilding

Abstract

We present a case of a 44-year-old female bodybuilder at a semi-professional level whose only cardiovascular risk factor is the use of various anabolic steroids. She was admitted due to hemoptysis, increased volume in the right leg, and dyspnea. During her hospitalization, we identify thrombosis at her right leg, in both ventricles, and pulmonary thromboembolism, as well as diastolic and systolic dysfunction of the left ventricle. Management with vitamin K antagonist anticoagulants was provided, with which she presents upper gastrointestinal bleeding and a transient ischemic attack.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Romero C, Achury J, Ortiz-Pereira M. Stroke and intracardiac thrombus: A case series. Neurology Perspectives Volume 3, Issue 3, July–September2023, 100104, doi: https://doi.org/10.1016/j.neurop.2022.08.002 DOI: https://doi.org/10.1016/j.neurop.2022.08.002

Simion C, Campello E, Bensi E, et al. Use of glucocorticoids and risk of venous thromboembolism: A narrative review. Semin Thromb Hemost 2021; 47(06): 654-661. doi: https://doi.org/10.1055/s-0040-1722270 DOI: https://doi.org/10.1055/s-0040-1722270

Chang S, Münster AB, Gram J, Sidelmann JJ. Anabolic Androgenic Steroid Abuse: The Effects on Thrombosis Risk, Coagulation, and Fibrinolysis. Semin Thromb Hemost. 2018 Nov;44(8):734-746. doi: https://doi.org/10.1055/s-0038-1670639 DOI: https://doi.org/10.1055/s-0038-1670639

De Piccoli B, Giada F, Benettin A, Sartori F, Piccolo E. Anabolic steroid use in body builders: an echocardiographic study of left ventricle morphology and function. Int J Sports Med. 1991 Aug;12(4):408-12. doi: https://doi.org/10.1055/s-2007-1024703 DOI: https://doi.org/10.1055/s-2007-1024703

Bhattad P, Roumia M (July 05, 2022) Building Body With Anabolics Is Weakening the Heart: Anabolic Steroid Induced Cardiomyopathy. Cureus July 05, 2022 14(7): e26579. doi: https://doi.org/10.7759/cureus.26579 DOI: https://doi.org/10.7759/cureus.26579

Baggish AL, Weiner RB, Kanayama G, Hudson JI, Lu MT, Hoffmann U, Pope HG Jr. Cardiovascular Toxicity of Illicit Anabolic-Androgenic Steroid Use. Circulation. 2017 May 23;135(21):1991-2002. doi: https://doi.org/10.1161/CIRCULATIONAHA.116.026945 DOI: https://doi.org/10.1161/CIRCULATIONAHA.116.026945

Ahumada-Zakzuk SJ, Ruiz-Pla FA. Uso de ecocardiografía en la evaluación de masas cardíacas. Rev colomb cardiol [Internet]. 2019;26:103–10. doi: http://dx.doi.org/10.1016/j.rccar.2019.04.009 DOI: https://doi.org/10.1016/j.rccar.2019.04.009

Published

2023-12-30

How to Cite

1.
Cáceres-Castro FJ, Rivera-Hermosillo JC, Alanís-Naranjo JM. Pulmonary thromboembolism, intracardiac thrombosis and acute heart failure in a female bodybuilder, secondary to the consumption of anabolic steroids. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2023 Dec. 30 [cited 2024 Nov. 22];6(3):46-9. Available from: https://imagenretic.org/RevEcocarPract/article/view/553